JENNIFER ELENORA NICKOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274118

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ELENORA

Last Name

NICKOLS

Business Name

JENNIFER ELENORA NICKOLS

Original Issue Date

07/06/2020

Effective Date

03/17/2022

Expiration Date

03/31/2023

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

09/07/2023